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A myALZteam Member asked a question 💭
Durham, NC

I’m struggling with caring for my 80 year old husband with Alzheimer’s.

His teeth are suddenly in very bad shape—a huge deterioration in just 6 months. If he doesn’t follow a strict dental hygiene routine he could lose several or even all of his teeth, but he won’t do it. He complains constantly and yells at me when I supervise him. He should brush for at least 2 minutes with a prescription toothpaste but he quits after 30 seconds. Same with the prescription mouthwash. He just doesn’t use it… read more

December 23, 2020
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Answer Summary

Members deeply empathized with the challenges of maintaining dental hygiene for a spouse with Alzheimer's, sharing the heartbreaking reality... Read more

Members deeply empathized with the challenges of maintaining dental hygiene for a spouse with Alzheimer's, sharing the heartbreaking reality that compliance often becomes impossible as the disease progresses, with some accepting tooth loss as inevitable while focusing on preventing pain. Several members offered practical strategies that worked for them, including using electric toothbrushes, hydrogen peroxide rinses, creating gentle stories or distractions during brushing, and reframing the caregiver as a personal hygienist to reduce resistance. A recurring theme was the importance of picking your battles, celebrating small wins, extending grace to yourself and your loved one, and leaning on faith and community support to endure what many described as one of the hardest expressions of love.

A myALZteam Member

Joan -
A dear friend of mine who passed recently at 53 was a quadriplegic since the age of 19. He had caregivers who lived in and they would brush his teeth, but his GO TO was a hydrogen peroxide rinse. You might ask a dentist if this is OK. I recently had a tooth abscess and had to have root canal and I take excellent care of my 76 year old teeth!!! You don't want him to have that, so if you can get him to rinse and in to see a dentist, you might save his teeth. Good luck!!

December 23, 2020
A myALZteam Member

I can only tell you what I do. Awhile back I notice my husband was not brushing all his teeth. A wake up call was when he had 4 minor cavities, the first cavities he had in 40 years. I tried a water pick that was a disaster. Telling him how to brush did not work either. He just got annoyed as he just did not understand my directions. So eventually, I just started making up stories why I would brush his teeth. Fortunately, he was receptive and also lets me floss. I tell him that I see blood when I brush, and we need to floss. Lately, he has been making more discomforting faces and grunting when I ask him to sit down when I have the toothbrush ready, but I try to make a big deal about how white his teeth are or distract him with stories, or tell him I am his own personal hygienist or whatever gets it done. I also have to stay on top of him rinsing because if I don’t say spit out he will swallow. Good luck

December 23, 2020 (edited)
A myALZteam Member

Pam ~
I hear your frustration and am sorry it's so hard to cope with a man you hardly recognize anymore. Here's where all the sacrifice and God's grace come in!! The only reward is the knowledge that we did our best and followed His command to "love one another." This may be the hardest love of all but don't give up! I ask God for an extra portion of patience, wisdom, guidance, endurance, and a dose of His supernatural love to complete this journey. May He who loves you more than you can imagine, come beside you and carry you through to the end.

December 31, 2020
A myALZteam Member

I haven’t had any experience with this as my mom still seems to enjoy brushing. But I have a friend whose 86 year-old husband had the same problem. She started using an electric toothbrush with him and he actually seems to like it. She stays close, though. Maybe, would that help?

Rina

December 27, 2020
A myALZteam Member

So right. Out from between the ears and onto the screen gives both perspective and relief.

December 23, 2020

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